Nordstrom Inc – Prosthetic/Orthotic Supplier, NPI 1891720447

Nordstrom Inc is a healthcare provider. based in Seattle, Washington. specializing in Prosthetic/Orthotic Supplier. The NPI Number for Nordstrom Inc is 1891720447

Main info

Organization
Name
Nordstrom Inc
NPI
1891720447
Phone
(206) 454-4060
Address
1617 6TH AVE
Authorized Official
KRESHA B BRITTON PROSTHESIS OFFICE MANAGER
Enumeration Date
12 July 2006
Last Update Date
16 June 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Nordstrom Inc

  • 1617, 6th Avenue, Central Business District, Belltown, Seattle, King County, Washington, 98101, United States

    ATTN: PROSTHESIS

    SEATTLE, WA 981011707

    Phone: (206) 454-4060

    Fax: (206) 454-1279

    Type: Mailing

  • Westfield Southcenter, 2800, Southcenter Parkway, Seattle, King County, Washington, 98188, United States

    TUKWILA, WA 981882805

    Phone: (206) 246-0400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (282 days ago).

Enrollment records

1

Earliest due date

2025-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930089359ODepartment StoreWA2025-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98101)

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Reviews

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Frequently asked questions

How do payers reference Nordstrom Inc?
For Nordstrom Inc, use NPI 1891720447 as the unique 10-digit identifier.
Is Nordstrom Inc still an active registrant?
Nordstrom Inc carries an active NPI according to the public dataset.
How would a patient describe Nordstrom Inc's focus?
For Nordstrom Inc, the primary taxonomy reads as Prosthetic/Orthotic Supplier. Clinical services aligned with this taxonomy classification.
Where in Washington is Nordstrom Inc registered?
Use Seattle, Washington as the headline location for Nordstrom Inc here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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